Provider Demographics
NPI:1861466401
Name:UHRIG, LAWRENCE (DO)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:
Last Name:UHRIG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4727 STATE ROUTE 60
Mailing Address - Street 2:DEVOLA MEDICAL CENTER
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-5360
Mailing Address - Country:US
Mailing Address - Phone:740-374-6789
Mailing Address - Fax:740-374-7022
Practice Address - Street 1:4727 STATE ROUTE 60
Practice Address - Street 2:DEVOLA MEDICAL CENTER
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-5360
Practice Address - Country:US
Practice Address - Phone:740-374-6789
Practice Address - Fax:740-374-7022
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34005060U207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0674221Medicare ID - Type Unspecified
OHE88366Medicare UPIN